Provider Demographics
NPI:1942783873
Name:RUEF, LAUREN (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:RUEF
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 169
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:NJ
Mailing Address - Zip Code:08202-0169
Mailing Address - Country:US
Mailing Address - Phone:856-524-0587
Mailing Address - Fax:
Practice Address - Street 1:1046 ROUTE 47 S
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1506
Practice Address - Country:US
Practice Address - Phone:856-524-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057315001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical